Document Detail


Time Providing Care Outside Visits in a Home-Based Primary Care Program.
MedLine Citation:
PMID:  24802078     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: To assess how much time physicians in a large home-based primary care (HBPC) program spend providing care outside of home visits. Unreimbursed time and patient and provider-related factors that may contribute to that time were considered.
DESIGN: Mount Sinai Visiting Doctors (MSVD) providers filled out research forms for every interaction involving care provision outside of home visits. Data collected included length of interaction, mode, nature, and with whom the interaction was for 3 weeks.
SETTING: MSVD, an academic home-visit program in Manhattan, New York.
PARTICIPANTS: All primary care physicians (PCPs) in MSVD (n = 14) agreed to participate.
MEASUREMENTS: Time data were analyzed using a comprehensive estimate and conservative estimates to quantify unbillable time.
RESULTS: Data on 1,151 interactions for 537 patients were collected. An average 8.2 h/wk was spent providing nonhome visit care for a full-time provider. Using the most conservative estimates, 3.6 h/wk was estimated to be unreimbursed per full-time provider. No significant differences in interaction times were found between patients with and without dementia, new and established patients, and primary-panel and covered patients.
CONCLUSION: Home-based primary care providers spend substantial time providing care outside home visits, much of which goes unrecognized in the current reimbursement system. These findings may help guide practice development and creation of new payment systems for HBPC and similar models of care.
Authors:
Elizabeth J Pedowitz; Katherine A Ornstein; Jeffrey Farber; Linda V Decherrie
Related Documents :
24701408 - Use of hypothermia in the intensive care unit.
23632598 - Medical homes versus individual practice in primary care: impact on health care expendi...
24628948 - Discharge instructions for caregivers in the context of pediatric emergency care: a nar...
14758148 - Electronic monitoring and voice prompts improve hand hygiene and decrease nosocomial in...
11236818 - A randomized controlled trial of community-oriented and hospital-oriented care for disc...
1506848 - White matter lesions in the elderly.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-5-6
Journal Detail:
Title:  Journal of the American Geriatrics Society     Volume:  -     ISSN:  1532-5415     ISO Abbreviation:  J Am Geriatr Soc     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-5-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7503062     Medline TA:  J Am Geriatr Soc     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2014, Copyright the Authors Journal compilation © 2014, The American Geriatrics Society.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Non-invasive transmission electron microscopy of vacancy defects in graphene produced by ion irradia...
Next Document:  Ionic liquid and deep eutectic solvent-activated CelA2 variants generated by directed evolution.